Are you ready to begin the counseling process? Please fill out and submit the form below. (Placements may take 2 to 4 weeks.)

STEP 1:

Initial Intake Form (for all ages)

• This form is used to get basic information and get you placed with the right counselor for your situation.

STEP 2:

Detailed Intake Form (for ages 16 & up)

OR

Adolescent Intake Form (for ages 15 & under)

• These forms are used to answer initial counseling questions and provide a faster approach to understanding root issues.